《Obesity》The past and present of obesity treatment⏲️

葉峻榳醫師
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IPFS
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✨Article source 🔜 https://www.yehclinic.com/obesity-treatment-the-past-and-present/

In the outpatient clinic, I often see many friends who are overweight and need to take medicines from several departments, such as: blood pressure medicine, blood sugar medicine, blood lipid medicine, gout medicine, etc. Obesity has quite a lot of complications, often causing a lot of trouble, and often go to the hospital because of physical discomfort. In fact, as long as you lose weight, many problems will be solved!

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obesity complications


Being overweight and obese can be at risk of more than a dozen complications: stroke, idiopathic increased intracranial pressure, cataracts, lung disease, coronary artery disease, hypertension, diabetes, dyslipidemia, gastroesophageal reflux, liver disease , gallbladder disease, degenerative arthritis, gout, gynecological diseases, stress urinary incontinence, phlebitis, cancer , etc.

The above complications will cause obese friends to seek medical treatment everywhere, such as:

1⃣️If you have knee pain, see "Orthopedics" 🔜 Take painkillers or have surgery.

2⃣️Gastroesophageal reflux with "Gastroenterology" 🔜 Do a gastroscope and take stomach medicine.

3⃣️Urinary incontinence is linked to "Urology" 🔜 Do a bladder pressure check.

"Obesity" doctor reminds: more than a dozen complications that obesity will face❗️


past treatment


Treating head pains and foot pains, treating “diseases” rather than “people” often results in unnecessary medical expenses. Take the three most common complications of obese people: high blood pressure, high blood sugar, and high blood lipids. In the past, we often set corresponding treatment goals according to the "disease" and prescribed medicines to patients!

☑️ In the treatment of high blood pressure, different blood pressure control goals will be set according to the patient group. ✨The correct posture to measure blood pressure! 2017 Taiwan Hypertension Guidelines Update


☑️ For hyperglycemia treatment, different blood sugar drugs will be selected according to each patient's condition: ✨ 《Diabetes》Ominous Octet by Prof. DeFronzo ~ The pathogenesis of hyperglycemia❗️


☑️ Hyperlipidemia treatment will evaluate whether other risk factors are combined, and then select the corresponding treatment target. ✨2017 Guidelines for the clinical treatment of dyslipidemia in high-risk patients in Taiwan



current treatment


For obese friends, in order to treat the above complications, it seems very reasonable and reasonable to take blood pressure, blood sugar, and blood lipid lowering drugs. However, if we think about it on the other hand, if we transfer the thinking of treatment from treating "disease" to treating "people", there will be a 180-degree change.

For overweight and obese people, as long as the weight is reduced, the waistline becomes thinner, and the body fat is reduced, many drugs can be reduced, and there is no need to continue taking drugs; in addition, the risk of complications due to obesity will also follow. lower 👍


To deal with overweight and obesity , we can refer to the guidelines of the American Association of Clinical Endocrinologists (AACE) and the American Association of Endocrinologists (ACE). The most suitable " treatment (eg: diet, exercise, medicine, surgery) ".

Of course, before that, don't forget to rule out whether there are other problems that can cause obesity. 🔜✨ "Obese" Breathing will also make you fat? In addition to living habits and diet, there are seven reasons to pay attention to the treatment of obesity !


Summarize

In dealing with obesity-related complications (such as hypertension, hyperglycemia, hyperlipidemia, etc.), we have changed from simply "prescribing any medicine for any disease" to "people"-centered treatment.

For overweight and obese people, as long as the weight is reduced, the waistline becomes thinner, and the body fat is reduced, in addition to reducing complications, many chronic disease medication can also be reduced, and there is no need to continue taking medication👍

Author: Dr. Ye Junju ( Metabolism Specialist , Lecturer in Greater China of American Sports Medicine Association , Medical Consultant of Ogma Fitness Center , Consultant of Compal Computer Project )

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葉峻榳醫師葉峻榳醫師,新陳代謝暨內分泌專科,專攻糖尿病、肥胖等疾病。熱愛運動,朝著整合「醫學」與「運動」的目標,幫助人們變得更強壯。 葉峻榳醫師:https://chunting.me/ 葉峻榳醫師診療室:https://www.yehclinic.com/blog
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